Assuming you have 2 patients suffering from cough and abdominal pain,. kindly make an fdar charting for that patient. PROBLEM#1: COUGH PROBLEM#2: ABDOMINAL PAIN
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Assuming you have 2 patients suffering from cough and abdominal pain,.
kindly make an fdar charting for that patient.
PROBLEM#1: COUGH
PROBLEM#2: ABDOMINAL PAIN
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- LF, a 34 year old white male, presented to the emergency room complaining of acute and severe shortnessof breath and intense chest tightness. LF’s speech was choppy and breathing was very rapid and erratic,punctuated by noticeable wheezing. LF’s medical records included the results of pulmonary functiontesting he had undergone six months beforeHis medical records also indicated prior admission for respiratory symptoms and a history of poorly-controlled asthma.LF received high-dose bronchodilator medication through use of a valved holding chamber. This wasfollowed by intravenous glucocorticoids and nebulized bronchodilators every two hours for a twelve-hourperiod, followed by nebulized bronchodilators every four hours for a forty-eight hour period.After discharge from the hospital, LF was provided a take-home flow meter to monitor his lung function.Table 4 shows LF’s PEFR results during a 30-day period.Table 4. Peak flow monitoring from day 1-30 post-discharge. All PEFR values are given…Disorders of the Respiratory System Grid Name of Condition Which specific part of the body is affected? What is the pathophysiology of this condition? What are the objective/subjective signs & symptoms? Pneumonia Asthma COPD Pulmonary Embolism PneumothoraxS.M. is a 25-year-old man in the clinic today for worsening shortness of breath. He smoked one pack of cigarettes per day from ages 18-20, but states he has not smoked in 5 years. Physical examination reveals a thin man in moderate respiratory distress. There is marked increase in the anteroposterior diameter, distant lung sounds, and occasional expiratory wheeze. Blood gases on room air are as follows: pH 7.42, PaCO2 40, PaO2 71, HCO3- 26. Select a potential diagnosis for S.S. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain S.S.’s physical exam and lab findings?
- Situation (#s 1 – 20): Mrs Juana dela Cruz, unemployed, age 33, entered the emergency room with complaints of nausea and vomiting and mild to moderate chest pain. She also has choledolithiasis (gallstones in the bile duct). She answers questions appropriately but cannot recall her past medications. Initial assessment revealed scattered crackles bilaterally throughout the lung bases and +1 pitting peripheral edema bilaterally in the lower extremities. She is 8 Kg (18 lbs) heavier than her estimated weight of 74 kg (164 lbs). BP: 140/90 mmHg, HR: 116 bpm, Respirations: 25 breaths/min, Temperature: 38.7oC/axilla, SPO2: 91%. Cholesterol is 250mg/dL, triglycerides is 200 mg/dL, and LDL is 212 mg/dL. HDL 55 mg/dL. Serum Albumin is 2.8 g/dL. Choose 3 signs that are DIRECTLY RELATED to hypoalbuminemia. A. Crackles in the lung basesB. FeverC. Pitting EdemaD. Nausea and vomitingE. Alert and forgetfulF. Weight gainG. Chest painDiscuss the changes in thoracic cavity including the respiratory muscles involved during the different phases of respiration. I WILL UPVOTE IF INFORMATIVE PLS PLSSDescribe the common respiratory complications for postoperative patients in the clinical unit.- AIRWAY OBSRTUCTION
- Which of the following assessment indicatesmoderate respiratory distress? No expiratory grunt, minimal nares dilatatic and visible intercostal retraction No nares dilatation, No xiphoid retraction, with visible xiphoid retraction Seesaw respirations, visible intercostal retraction, and visible xiphoid retraction Visible intercostal retraction, Expiratory grunt audible by stethoscope, and no nares dilatationCase r/t Thorax and Lungs examination Adela, a market vendor, visits the clinic with a chief complaint of body malaise. She tells the physician, "I just don't feel good." Her vital signs are the following: T 39°C; respirations 25 and shallow; HR 100 bpm; BP 126/87. Past history indicates that she has been a pack-a-day smoker for 20 years. During the patient interview, she states that she has a family history is COPD and her father had lung cancer. Adela is being evaluated for COPD B. Develop a teaching plan for herHow providing oxygen therapy will affect the patient's blood gas levels?
- P.R., a 61-year-old woman who has no history of respiratory disease, is being admitted to your unit with adiagnosis of pneumonia and acute respiratory failure. She was endotracheally intubated orally in the emergency room and placed on mechanical ventilation. Her vital signs are 112/68, 134, 101° F (38.3° C) with an Sa O2 of 53%. Her ventilator settings are synchronized intermittent mandatory ventilation of 12 breaths/min (BPM), tidal volume (V T ) 700 mL, Fi O2 0.50, positive end-expiratory pressure (PEEP) 5 cm H 2 O. 12. Describe interventions that you could use to assist in meeting P.R.'s nutrition goals. 13. The goal related to P.R.'s mouth care is to preserve the oral mucosa and dentition. Identify three strategies for providing oral hygiene with an ETT in place.Case r/t Thorax and Lungs examination Adela, a market vendor, visits the clinic with a chief complaint of body malaise. She tells the physician, "I just don't feel good." Her vital signs are the following: T 39°C; respirations 25 and shallow; HR 100 bpm; BP 126/87. Past history indicates that she has been a pack-a-day smoker for 20 years. During the patient interview, she states that she has a family history is COPD and her father had lung cancer. what would be important when considering further assessment on this patient ?P.R., a 61-year-old woman who has no history of respiratory disease, is being admitted to your unit with adiagnosis of pneumonia and acute respiratory failure. She was endotracheally intubated orally in the emergency room and placed on mechanical ventilation. Her vital signs are 112/68, 134, 101° F (38.3° C) with an Sa O2 of 53%. Her ventilator settings are synchronized intermittent mandatory ventilation of 12 breaths/min (BPM), tidal volume (V T ) 700 mL, Fi O2 0.50, positive end-expiratory pressure (PEEP) 5 cm H 2 O. CHART REVIEW: Arterial Blood Gases pH 7.30 PaCo2 52 mm Hg HCO3 22 mmol/L PaO2 70 mm Hg SaO2 88% 7. ABGs are redrawn after P.R. is on mechanical ventilation for 1 hour. What ventilator changes do you anticipate, based on your interpretation of these values? (Select all that apply, and explain your rationale.) a. Increasing the PEEP to 10 cm b. Increasing the rate on the ventilator to 16 breaths/min c. Increasing the tidal volume…